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Did you receive treatment?*
1) Yes
2) No
3) I need help getting treatment (if accident was recent)
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When did the injury happen?*
1) Very recently
2) A few months ago
3) About a year ago
4) More than a year ago
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Was insurance involved?*
1) Yes, the other driver had insurance.
2) No, the other driver didn't have insurance.
3) No, but I have uninsured motorist coverage.
4) Yes, and I received a payout from the insurance company.
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